Active NPI
Larry Wayne Degarmeaux, DC DOCTOR OF CHIROPR
- Chiropractor
- Moundsville, WV
National Provider Identifier
1891825238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 278
- Practice address
- 605 Lafayette Avenue
Moundsville, WV 26041 - Phone
- (304) 845-8828
- Fax
- (304) 845-8801
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 278 | WV | Primary |
Addresses
Primary practice location
605 Lafayette Avenue
Moundsville, WV 26041
Mailing address
PO Box 214
Glen Dale, WV 26038
Phone (304) 845-8828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891825238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 214",
"city": "GLEN DALE",
"state": "WV",
"postal_code": "26038",
"telephone_number": "304-845-8828",
"fax_number": "304-845-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 LAFAYETTE AVENUE",
"city": "MOUNDSVILLE",
"state": "WV",
"postal_code": "26041",
"telephone_number": "304-845-8828",
"fax_number": "304-845-8801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGARMEAUX",
"first_name": "LARRY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "DC DOCTOR OF CHIROPR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moundsville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.